Springfield Eye Associates Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SPRINGFIELD EYE ASSOCIATES INC

Practice address

3640 Main St
Suite 205
Springfield, MA 01107-1145

Phone

(413) 739-7367

Fax

(413) 739-3808

NPI assigned

Jul 28, 2006

Last updated

Nov 11, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark A Jackowitz, M.D.NPI 1508851411

Title

President

Phone

(413) 739-7367

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Campus Opticians, LLC

  • Optometrist
  • Springfield, MA
  • NPI 1396801841

  Member Of

  NPD member

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian K Bredvik, M.D.

  • Specialist
  • Springfield, MA
  • NPI 1689660284
  Medicare reassignment Care Compare group NPD
• Kimberly Castellanos, OD

  • Optometrist
  • Springfield, MA
  • NPI 1417841040
  Medicare reassignment Care Compare group NPD
• Sarah Anne Hanson, M.D.

  • Ophthalmology Physician
  • Springfield, MA
  • NPI 1427212737
  Medicare reassignment Care Compare group NPD
• Mark A Jackowitz, M.D.

  • Specialist
  • Springfield, MA
  • NPI 1508851411
  Medicare reassignment NPD Authorized official
• Philip Moraitis, M.D.

  • Specialist
  • Springfield, MA
  • NPI 1396730172
  Medicare reassignment Care Compare group NPD
• Matthew Cody Kidd, O.D.

  • Optometrist
  • Chillicothe, OH
  • NPI 1326488669

  MA

  Medicare reassignment Care Compare group NPD
• Susan J Devine, OD

  • Optometrist
  • East Windsor, CT
  • NPI 1467590679

  MA

  Medicare reassignment NPD
• Santwana Prasad, O.D.

  • Corneal and Contact Management Optometrist
  • Springfield, MA
  • NPI 1972593853
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1609880467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 MAIN ST",
            "address_2": "SUITE 205",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071145",
            "telephone_number": "413-739-7367",
            "fax_number": "413-739-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 MAIN ST",
            "address_2": "SUITE 205",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071145",
            "telephone_number": "413-739-7367",
            "fax_number": "413-739-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD EYE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "JACKOWITZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-739-7367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS BLUE SHIELD GROUP #",
            "identifier": "M10812",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS GROUP #",
            "identifier": "718778",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP #",
            "identifier": "011538",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Lawrence Spring, PHARMD, RPH
• Springfield Anesthesia Service, Inc.
• Springfield Chiropractic Sports Rehab Ctr LLP
• Springfield Dentistry and Braces, PC
• Springfield Dept of Health and Human Services (No Tooth Left Behind)
• Springfield Eye Surgery and Laser Center
• Springfield Family Chiropractic LLC.
• Springfield Family Dental
• Springfield Family Dental PC
• Springfield Family Pharmacy, Inc

• Specialist in Springfield, MA
• Providers in Springfield, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.